HomeMy WebLinkAbout2216 Mathews St - Permits - 01/23/2004Community Planning &Environmental Services BUILDING P E RM I TPERMIT FEES
Building &Inspections Division
- Building Valuation
� P.O. Box 580 281 N. College Ave. 9
Fort Collins, CO 80522-0580
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 gi 0 4 0 0 3 6 3
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 2216 MATHEWSST PERMIT DATE I 2 ,`'200 4 BaiidItng Perri. it /o Jobs $15.0 1/231104
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
MECH Mechanical Alteration iSSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
Ce NAMUTH JEANETTE
w Address City/State WQ No. of Stories Building Height
3 2216 MATHEWS ST FORT COLLINS. CO 0
0 Zip Phone No. VBuilding Square Footage I Stock Plan/Options
805250 482-4106 n
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Left Side Setback
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Block
Lot Area
Parcel No.
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Contractor License No.
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Mechanical
License No.
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Roofing
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Framing
License No.
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Plumbing
License No.
Concrete
License No.
BOILER REPLACEMENT
(See reverse
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As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
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Print name of owner/agent Signature orDate TOTAL FEES
$1